Olson, Susan M

Olson, Susan M is an individual health care provider with primary practice located at 1121 E Main St Suite 130, St Charles IL 60174-2205. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Olson, Susan M can be contacted via phone (630) 513-5576.

Contact Information

Primary practice address
1121 E Main St Suite 130 St Charles IL 60174-2205
Phone: (630) 513-5576
Fax: (630) 513-5657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180001663 Illinois

Profile Details

NPI number 1144239047
LBN Legal business name Olson, Susan M
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jun 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144239047 NPPES
Illinois Other 04532734 BCBS

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